Efird, Jessica Allyn
Efird, Jessica Allyn is an individual health care provider with primary practice located at 212 Le Phillip Ct Suite 106, Concord NC 28025-2984. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Efird, Jessica Allyn can be contacted via phone (704) 782-3004.Contact Information
Primary practice address
212 Le Phillip Ct Suite 106
Concord NC 28025-2984
Phone: (704) 782-3004
Fax: (704) 782-3005
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C005129 | North Carolina |
Profile Details
| NPI number | 1720120785 |
|---|---|
| LBN Legal business name | Efird, Jessica Allyn |
| Credentials | MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720120785 | NPPES |
| North Carolina | MEDICAID | 6106478 |
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